Language
English
Publication Date
4-17-2025
Journal
Journal of Cardiovascular Development and Disease
DOI
10.3390/jcdd12040161
PMID
40278220
PMCID
PMC12027885
PubMedCentral® Posted Date
4-17-2025
PubMedCentral® Full Text Version
Post-print
Abstract
Non-ST-segment elevation myocardial infarction (NSTEMI) can be managed by ischemia guide strategies or early invasive strategies. Here, we present the findings of an updated contemporary analysis regarding the use of intracoronary imaging (ICI)-guided PCI versus angiography-guided PCI and in-hospital mortality in patients with NSTEMI in the United States using the NIS database from 2016 to 2021. ICI use increased by nearly threefold between 2016 and 2021, without a significant difference in in-hospital mortality, though interestingly, mortality rates compared with angiography guidance were similar and relatively low. In this study, the use of ICI was associated with lower adjusted odds of in-hospital mortality, cardiogenic shock, and cardiac arrest, but with a longer length of stay and cost of hospitalization.
Keywords
NSTEMI, IVUS, PCI, OCT
Published Open-Access
yes
Recommended Citation
Krittanawong, Chayakrit; Ang, Song Peng; Maitra, Neil Sagar; et al., "Intravascular Imaging-Guided Versus Angiography-Guided Percutaneous Coronary Intervention in Patients with Non-ST-Segment Elevation Myocardial Infarction in the United States: Results from Big Data Analysis" (2025). Faculty and Staff Publications. 4202.
https://digitalcommons.library.tmc.edu/baylor_docs/4202